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PFI Annual Report 2020-2021 |
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ANNUAL REPORT 2020-21
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TABLE OF
CONTENTS
Tribute
Chairperson’s Message
Executive Director’s Report
Our Work
Taking forward our Strategic Framework 2018-2022, PFI continues to
work towards advancing gender sensitive, rights-based population and
family planning policies and actions with a focus on adolescents and
young people. This is done through:
Community Action and Accountability
Strategic Engagement
Social and Behaviour Change Communication
COVID-19 Response
Financial & Operational Highlights
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8 - 29
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30 - 33
34 - 35
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Tribute
Mr. Keshav Desiraju
11 May 1955 – 5 September 2021
Mr Keshav Desiraju was greatly admired for
the intellectual breadth, problem solving
administrative skills and passionate
commitment to equity and social justice which
he brough to health and other development
sectors. He was instrumental in bringing
mental health, a hitherto neglected area, into
the centre stage of national and global health
discourse. His vision and values invigorated
many Indian and global health organisations
with which he was actively associated after his
retirement from the civil service. The Indian
public health community has suffered a great
loss in his untimely death
Prof. K Srinath Reddy
President Public Health Foundation of India & Member,
Governing Board, Population Foundation of India.
We mourn the loss of our chairperson and former Union
Health Secretary Mr Keshav Desiraju who passed away in
Chennai on Sunday September 5th, 2021, due to an acute
coronary syndrome. He was 66.
Grandson of former President of India Dr Sarvepalli
Radhakrishnan, Mr Desiraju was a man of many facets. He
had a master’s degree in Economics from the University of
Cambridge and a master’s degree in Public Administration
from the John F. Kennedy School of Government, Harvard
University. An IAS officer from the 1978 batch of the
Uttarakhand cadre, he held several positions with the
Governments of Uttarakhand and Uttar Pradesh and
Government of India, and retired as the Union Secretary
in the Department of Consumer Affairs.
Committed to advancing public good for the most vulnerable,
Mr Desiraju will be remembered as a man who had the
courage to call out corruption and commercial interests
in the healthcare sector. His significant contribution to
prioritizing mental health in India, and his role in the
formulation of the Mental Health Act 2017, has been
acknowledged and appreciated by many. Mr Desiraju
launched the ambitious Rashtriya Kishor Swasthya Karyakram
(RKSK), which envisions an integrated approach to adolescent
health, thereby enabling them to realise their full potential.
Mr Desiraju’s passion for ensuring accountability of the
health system and high-quality service delivery lives on in
Population Foundation of India’s work on accountability and
strategic engagement. As the Chairperson of Population
Foundation of India, he continued to be critically engaged
with issues of public health, health justice, primary health
care and community health.
Mr Desiraju’s vision and fierce commitment to equity made
him a valued mentor and leader across the development,
civil service and health sectors. The staff at Population
Foundation of India will forever remember his strong support
and mentorship and vision with which he guided our work.
All of us who interacted with him experienced his warmth,
humility, compassion and fortitude. His visits to the office
were always encouraging.
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Governing Board Members
Chairperson
Mr Keshav Narasimham Desiraju (Late)
Vice Chairperson
Mr Rajya Vardhan Kanoria
Mr Kiran Karnik
Mr Ratan N Tata
Dr Ajai Chowdhry
Dr Syeda S Hameed
Prof K Srinath Reddy
Dr Shireen J Jejeebhoy
Ms Maja Daruwala
Mr Vinod Rai
Justice Madan B Lokur
Prof Vikram Harshad Patel
Executive Director
Ms Poonam Muttreja
Advisory Council Members
Ms Srilatha Batliwala
Dr Leela Visaria
Dr Saroj Pachauri
Prof Suneeta Mittal
Dr Mirai Chatterjee
Mr Sanjoy Hazarika
Mr P D Rai
Ms Karminder Kaur
Dr Arvind Pandey
Dr Meenakshi Gopinath
Dr Pramath Raj Sinha
Dr Raman Kataria
Ms Sonalini Mirchandani
Dr Vikas Amte
Dr Rajani Ved
Ms Vandana Gurnani
Ms Poonam Muttreja
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No success or achievement in
material terms is worthwhile unless
it serves the needs or interests of
the country and its people and is
achieved by fair and honest means.
J.R.D. Tata
Chairperson’s
message
The COVID-19 pandemic has, through 2020, impacted
countries across the world. A major, catastrophic
consequence of the pandemic and subsequent lockdowns has
been widened disparities in access to education, healthcare,
employment and other steppingstones to a prosperous world.
The lockdowns may have well served a crucial public health
function, but they have also led to disruptions and significant
reductions in the supply of essential health services, including
family planning and sexual and reproductive health services.
The differential impact of the pandemic on the health and
well-being of vulnerable population groups, particularly
women, is an aggravation of the centuries of compounded
hardships they have faced.
For the last five decades, the Population Foundation of India
has worked towards addressing the challenge of ensuring
population stabilisation through an inclusive approach,
keeping women and young people at the centre. Our
response to the pandemic involved both supporting the
government in its COVID-19 response and recovery efforts
and in trying to ensure that the provision of family planning
and sexual and reproductive health services are
not compromised at the expense of other priorities.
In response to the call from NITI Aayog urging 92,000 NGOs
to support the Indian government, Population Foundation
of India worked on developing social and behaviour change
communication materials on COVID-19 prevention and
vaccination. Our teams worked closely with Mission Directors
and State Nodal officers for dissemination of these materials
and training of frontline health workers in 150 districts. In
addition, we made small grants to grassroots organizations
in Bihar, Uttar Pradesh, West Bengal and Jharkhand for
addressing the immediate needs of poor and vulnerable
communities severely impacted by COVID-19.
organizations to ensure that family planning information and
services continued to reach people. Evidence-based strategic
engagement is a core element of our work and our timely
surveys, knowledge collation and sharing played a crucial role
in ensuring awareness about the impact of the pandemic on
women and young people.
We recognise that COVID-19 is probably not the last
pandemic to impact us, and we must make efforts to be
better prepared for future emergencies. We continue to work
towards an informed discourse around COVID-19 appropriate
behaviours as well as measures to address vaccine hesitancy.
Collaboration is the hallmark of much of our work across
our three verticals: community action for health, social and
behaviour change communication and strategic engagement
with policymakers and we will continue to leverage this
three-pronged approach to bring about a positive change in
people’s lives in this challenging new environment.
Through the last year and more, colleagues at the Population
Foundation of India have worked, often from home and, when
conditions improved, in carefully scheduled sessions at the
office. I am grateful to all of them. Some colleagues have lost
family and friends to the pandemic. Our sympathies are with
them all.
Along with our NGO partners we engaged strategically with
the Ministry of Health and Family Welfare for the inclusion
of family planning on the government’s list of essential
services. We also worked with NGOs and social marketing
Late Keshav Desiraju
1955-2021
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Executive
Director’s
Report
The last year has been marked by challenges, opportunities,
and most of all, by a rapid transformation in the ways
we live and work. The COVID-19 pandemic has caused
immense upheaval in the lives of women, men and children
around the globe. At Population Foundation of India, our
colleagues and partners too, have had to respond to the
challenges posed by the pandemic and the subsequent
lockdowns and restrictions. In April 2020, soon after the first
lockdown and even as colleagues adapted to working from
home, Population Foundation of India launched a nationwide
campaign addressing COVID-19 in partnership with Facebook
India and Government of India’s MyGov social media
platforms.
Lockdowns and the need for physical distancing have
forced us to reassess the way in which we work. Face-
to-face discussions have been swiftly replaced by online
meetings, conferences and workshops have given way to
online webinars, and interpersonal communication has been
substituted by social and digital media campaigns. Digital tools
and technologies have allowed us to continue most of our
work in the face of the pandemic. However, it has not been
possible to shift every interaction or programme online, and
some of our programme teams have had to realign priorities
and activities due to the changed circumstances.
The pandemic adversely impacted the delivery
of health services throughout the country.
Essential services such as family planning,
antenatal and post-natal care, and maternal
care were suspended or disrupted during the
lockdowns and resources were diverted to
fight COVID-19. Population Foundation of India
highlighted the importance of attending to
women’s health even during a crisis situation.
Over the course of the year, we engaged with relevant
stakeholders to advocate for a greater need to strengthen
choice-based family planning and access to contraceptives
to prevent an unprecedented impact on family planning and
reproductive health. We used online platforms to sustain
and amplify deliberations to maintain family planning as an
important item on the public health agenda. We engaged
with Government of India and state governments on finding
creative ways to continue work on family planning.
We also worked to address the reproductive health needs of
adolescents, especially girls during the past year. For example,
our engagement with the Department of Health in Rajasthan
ensured that Adolescent Friendly Health Centres are included
in all the 200 model Community Health Centres opened in the
constituencies of Members of the Legislative Assembly.
In Bihar, young women from our youth groups came together
to create sanitary pad banks to provide menstrual hygiene
supplies to women and girls during the lockdown.
Our digital-forward rather than digital-first strategy has
allowed the organisation to deepen our engagements with
young people. SnehAI, the Artificial Intelligence (AI) powered
chatbot, continues to reach young people on issues related
to their health and well-being. The chatbot has an audience
of over 1,30,000 active users and has had over 8.7 million
conversations. We are excited to have launched the End
Violence Against Children project this year, which will expand
the chatbot to reach younger audiences on issues of digital
safety and online child sexual abuse and exploitation.
While this shift to a digital-forward approach has allowed
Population Foundation of India to remain responsive and
relevant, we are still committed to ensuring that our work
is rooted in ground realities. Cultural contexts, evidence-
based research and locally relevant solutions continue to
drive our work. Campaigns such as Himmat Hai Toh Jeet Hai,
launched digitally in September 2020, to give people hope
and strength in the face of the ongoing COVID-19 battle, were
rooted in inspiring stories and testimonials from our partners
on the ground. Similarly, we created COVID-19 guidelines
for Patient Welfare under the Community Action for Health
programme for Health, Sanitation and Nutrition Committees
as well as Mahila Arogya Samitis. While the guidelines were
disseminated digitally using networks of the Department of
Health, the content was developed to respond to the needs
and requirements raised at a community level. Population
Foundation of India continues to contribute to an evidence-
based discourse around public health issues. We have actively
pursued informed engagement with the national and regional
media (both print and digital) on critical public health issues
through articles, blogs and TV interviews. Partnerships with
media on World Contraception Day, International Women’s
Day and other significant occasions further amplify our issues.
The last year has been difficult for our staff and partners. We
are grateful to our donors as well as our Governing Board
and Advisory Council members who have provided immense
support as we re-worked our priorities in the context of the
COVID-19 pandemic. As I reflect on the past year and look
forward to the next, I am confident in saying that Population
Foundation of India has emerged stronger, with an even
more robust commitment to stepping up for the health and
wellbeing of young people—women and men across the
country.
Himmat Hai Toh Jeet Hai—and we are full
of himmat!
Poonam Muttreja
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Community
Action for
Health
CHANGE
Community Action for Health (CAH) is a
key component of the National Health
Mission (NHM), the flagship programme of
the Ministry of Health and Family Welfare
(MoHFW), Government of India, which
empowers communities to engage and
seek accountability from health officials
on availability, accessibility and quality of
public health services, thereby, bringing
public back into public health.
The MoHFW constituted the Advisory
Group on Community Action (AGCA)
in 2005 to provide guidance to central
and state governments on community
processes initiatives, particularly those
related to accountability for the provision
of public sector health services. The AGCA
comprises eminent public health experts,
and Population Foundation of India hosts
its Secretariat.
The CAH processes are currently being
implemented in
2,24,000 villages in
372 districts including
51 aspirational districts &
72 cities across
24 states/UTs
HIGHLIGHTS
Given the impact of the COVID-19 pandemic across the
country, the MoHFW advised the AGCA to reorganize its
objectives and provide technical support to state governments
on mitigation of COVID-19 at the community level. In close co-
ordination with the state NHMs, the following processes were
supported by the AGCA team:
PROTOCOLS
A set of five guidance notes were developed and
disseminated to state and district nodal officers and civil
society organizations (CSO). These documents detailed roles
and responsibilities, standard operating procedures, and
COVID-19 protocols for Village Health Sanitation and Nutrition
Committees (VHSNC), Rogi Kalyan Samiti (RKS), Mahila Arogya
Samitis (MAS), Resident Welfare Associations (RWA), Village
Health Sanitation and Nutrition Day (VHSND) and Urban
Health and Nutrition Day (UHND).
TRAINING
Online training was facilitated by the AGCA team to
strengthen engagement and promote cross training of
VHSNCs, Panchayati Raj Institutions (PRIs) MASs, RKSs in
COVID-19 mitigation. More than 6,500 state, district and block
nodal officers from 13 states were trained in 142 batches.
DIALOGUE
The AGCA team organised 12 virtual Jan Samwads
(Public Dialogues) in Bihar and Rajasthan to provide direct
interface of communities with health officials; approximately
1700 people participated in the Jan Samwads.
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12 Jan Samwads in
Bihar & Rajasthan
6500+ Nodal officers
from 13 states trained
8000+ youth generate
ARSH awareness
8 AFHCs established
in Darbhanga
and Nawada
Strengthening of
VHSNCs in Begusarai
and Sheikhpura
Covid Guidance
Notes developed for
State and Districts
Adolescent girls during a meeting in Bihar
ENGAGEMENT
A set of 17 good practices/positive stories on community
engagement initiatives during COVID-19 from 11 states was
developed and disseminated with state governments.
SUPPORT
The AGCA team provided support to the National
Health System Resource Center (NHSRC) in rolling out Jan
Arogya Samitis (JAS). The MoHFW issued guidelines to state
governments for the constitution of JASs in all functional
Health and Wellness Centers (HWCs) in December 2020,
and the AGCA team supported the NHSRC in developing
state governments’ capacities to implement the guidelines.
The AGCA team co-facilitated the first batch of national level
training of trainers (ToT) in March 2021 in which state nodal
officers from 19 states participated.
LEADERSHIP
We strengthened leadership and agency among youth by
mobilising over 8,000 adolescents and youth in eight blocks
across Darbhanga and Nawada districts in Bihar to generate
demand for Adolescent Reproductive Sexual Health (ARSH)
services; undertake community monitoring of ARSH services
and; provide regular feedback to frontline workers and
health managers. As a result of continued dialogue between
the youth champions and block and district officials, eight
Adolescent Friendly Health Clinics (AFHC) were established
between September and October 2020. About 1,500
adolescents availed services at the AFHCs through March
2021. The youth champions also played an important role
during the first surge of COVID-19 by distributing masks and
sanitary pads, especially among marginalized girls and women
who could not procure napkins during the lockdown.
PARTNERSHIP
To accelerate progress on health outcomes in the
aspirational districts of Bihar, Population Foundation of
India partnered with NITI Aayog and Piramal Foundation
on community engagement and social behaviour change
communication (SBCC). District and block nodal officers
were oriented in 24 blocks of Begusarai and Sheikhpura
districts of Bihar to strengthen functioning of VHSNCs and
use SBCC resources to promote local actions on COVID-19.
This led to increased utilization of untied funds on locally
identified priorities and support to frontline health workers on
COVID-19 mitigation.
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Case Study
Bridging the
Digital Divide:
Connecting Communities with Health
Systems through virtual Jan Samwad during
COVID-19 in India
Communities participating in a virtual Jan Samwad, Bihar
The Jan Samwads, a social-audit platform, serve as an
important mechanism to attain community feedback on health
services and redress grievances regarding the availability and
quality of public health services. Jan Samwads are usually
organised bi-annually at the block and districts Primary Health
Centers. Community feedback on health services is collected
through a set of tools used by community members and are
presented at the event before a panel comprising district and
block officials. The community feedback provides directions
to officials for actions to strengthen the delivery of health
services.
The lockdowns and isolation caused by the COVID-19
pandemic led to disruptions in the provision of health services
and a break in direct contact with the community. Population
Foundation of India’s Jan Samwads raised the voices and
concerns of communities during the crisis and offered an
opportunity for redress.
The minutes and the action taken report were finalized within
a week of the event. A government notification was issued
for posting doctors at the Additional PHCs in Budhauli and
Dumrawan. All ANMs were instructed to provide complete
range of ANC services at Village Health Sanitation and Nutrition
Day (VHSND) sites as well as at the health sub-centres. The
Civil Surgeon sent a request to the Principal Secretary—Health,
Government of Bihar to depute a gynecologist at the CHC.
The replacement of routine in-person meetings with the virtual
Jan Samwad may be a small step, but more importantly, it is
replicable and scalable. It brings together the community and
key decision makers at the state, district and block levels, which
would otherwise not be feasible given the circumstances. The
key pre-conditions for a successful virtual event includes a fair
degree of community mobilisation, presence of a facilitating
organization, an active NHM community processes team and
internet connectivity.
In December 2020, the first virtual Jan Samwad was
organised at Pakaribarawan block of Nawada district in
Bihar. Participants shared their experiences and grievances
about the delivery of public health services with the District
Civil Surgeon. Key issues raised by the participants related to
restoring out-patient services at hospitals, provision of ante-natal
care (ANC) services, distribution of iron folic acid tablets, and
postings of doctors at Additional Primary Health Centers (APHC)
and a female doctor at the Community Health Center (CHC).
Since December 2020, twelve virtual Jan
Samwads were organised in Bihar and
Rajasthan. The AGCA is working with other
states to organise virtual Jan Samwads in the
coming months.
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Emerging challenges such as vaccine
hesitancy among communities will
also need to be addressed. It remains
critical that we continue engaging
with and listening to communities,
and ensuring that their grievances
are addressed.
SUPPORT TO
BIHAR GOVERNMENT IN
ESTABLISHING SEHAT KENDRAS
Population Foundation of India supported the
State Health Society in Bihar and Bihar State
AIDS Control Society in the conceptualization
of youth-friendly spaces in 30 colleges of Bihar
called Sehat Kendra. The Sehat Kendras will
provide college students accurate information
on health, including sexual and reproductive
health and mental health, gender issues,
and nutrition. We developed the branding
guideline and reference manual for Sehat
Kendras. Population Foundation facilitated
a state level TOT with 99 peer educators
and Red Ribbon Club Coordinators who will
manage these centers. Shri Manoj Kumar,
IAS, Executive Director-cum-Special Secretary
Health inaugurated the TOT and addressed the
participants.
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Strategic
Engagement
A key pillar of Population Foundation
of India’s work is strategic engagement
with key stakeholders, including policy
makers and the media on family
planning (FP), sexual and reproductive
health (SRH) and population-related
issues by providing compelling
evidence to inform and inspire decision
making. We undertake critical analysis
of policies and programmes on
population, family planning and sexual
and reproductive health of women,
men, and adolescents. Through our
work we strive to shift the FP and
population discourse to a gender-
sensitive and rights-based approach.
Objectives of approach include:
Ensuring that adequate resources are committed
for comprehensive, rights-based high quality FP and
adolescent reproductive health services.
Strengthening Sexual and Reproductive Health and
Rights (SRHR) policies and programmes aligned with
a gender and human rights perspective.
Improving service delivery and enhancing
access to FP and adolescent reproductive health
programmes.
Realizing Commitments to Family
Planning (RCFP)
The second phase of Realising Commitments to Family
Planning in India program (RCFP-II), funded by the Bill
and Melinda Gates Foundation, mobilises support from
stakeholders and thought leaders for increased access to
choice-based, quality FP services and affirms the centrality
of FP for sustainable development with particular focus on
young people. The project is anchored in evidence-based
strategic engagement efforts with key stakeholders, including
the MoHFW.
We use a multi-pronged strategy to build an evidence-
informed discourse and action among key stakeholders. The
programme relies on:
Evidence building and dissemination
Engagement with and amplification of voices of thought
leaders
Media engagement to inform and promote increased
dialogue on FP
Engagement with CSOs to build a cohesive voice for
choice-based, quality FP services
Interventions to counter narratives that may negatively
impact choice-based family planning
The RCFP-II strategic engagements align with India’s global
commitments, primarily the FP2030 and the Sustainable
Development Goals that aim at addressing the unmet need
for FP. As India continues to grapple with the COVID-19
pandemic, it has become all the more pertinent to sustain
the gains made in FP over the past few years and to ensure
that both FP and SRH remain a priority agenda for achieving
national and international commitments.
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To address the impact of the pandemic
and subsequent lockdowns on access to
and provision of essential health services
including FP/SRH services, Population
Foundation of India promote an informed
discourse to ensure that FP remained a
priority during the pandemic.
HIGHLIGHTS
Population Foundation of India played a lead role in
having FP included as an essential service in the MoHFW
guidelines by leveraging its convening ability to hold
strategic conversations with key stakeholders.
During the pandemic we generated, collated and
disseminated knowledge products on FP/SRH issues as
well as the impact of COVID-19 on FP/SRH services.
On the request of the Parliamentary Standing
Committee-Health & Family Welfare, Population
Foundation of India presented recommendations on
the “Outbreak of Pandemic COVID-19 and Related
Contingent and Mitigation Plan” before the Committee.
The Parliamentary Standing Commitee then submitted
these recommendations to the Vice President of India in
November 2020 for action.
Engagement with NITI Aayog for inclusion of family
planning indicators in NITI Aayog’s Aspirational Districts
Programme resulted in Niti Aayog considering the
inclusion of specific indicators, which could form part of
the districts performance measurement on health. This
work is on-going.
Active engagement with national and regional media
on issues surrounding FP/SRH and population issues
resulted in widespread coverage across digital, print,
television media both nationally and regionally. Over
100 articles, either authored by, or quoting Population
Foundation of India, were published on topics such
as, access to FP/SRH services by women and girls
during COVID-19 pandemic; key drivers of population
stabilization; choice-based access to FP; expansion of
contraceptive choices; increased investments for health
and FP; among others. Importantly, the media continues
to seek Population Foundation of India’s insights and
expert opinion on issues pertaining to FP/SRH. .
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Advocating Reproductive Choices
Advocating Reproductive Choices (ARC) is a
national-level coalition of 115 organisations
working collectively to strengthen and advance
access to FP services in India since 2005.
Since 2015, Population Foundation of India
has hosted the ARC Secretariat.
A grant from the David and Lucile Packard
Foundation enables Population Foundation of
India to host the ARC Secretariat, strengthen
operations of ARC focusing on strengthening
governance norms, member engagement and
visibility of the coalition.
HIGHLIGHTS
ARC General Body Meeting: On July 22, 2020 the ARC
secretariat hosted a virtual general body meeting that
was attended by 85 member organizations. Dr Manohar
Agnani, Joint Secretary - Reproductive and Child Health,
MoHFW, Government of India addressed members at the
plenary session.
Reconstituting the ARC Core Committee: There was a
need to induct new members to the Core Committee as
its membership had remained more-or-less unchanged
over the last 15 years. The ARC general body in its July
2020 meeting, elected a new Core Committee. Current
members of the ARC Core Committee include: Integrated
Development Foundation, PATH, Pandit Govind Ballabh
Pant Institute of Studies in Rural Development, Action
Research Training for Health (ARTH), Foundation for
Reproductive Health Services India, Federation of
Obstetric and Gynaecological Societies of India, Indian
Association of Parliamentarians on Population and
Development, Abt Associates and Population Foundation
of India.
Social media to amplify issues related choice and quality:
ARC is now active on Facebook and Twitter which helps to
amplify its messages on SRHR, crowdsource information,
engage in conversations and increase the visibility of the
coalition.
ARC Secretariat shared knowledge, resources and
webinar updates with members frequently. This helped
in bringing members on the same page regarding FP and
COVID-19.
Organization of webinars: ARC Secretariat organized
three webinars:
ȃ Analysis of family planning and social demographic
determinants: National Family Health Survey-5 (NFHS)
in collaboration with Population Council in December
17, 2020.
ȃ Population myths and realities with Dr. S.Y Quraishi in
February 26, 2021.
ȃ Impact of COVID-19 on reproductive health and family
planning services in Rajasthan’ in collaboration with
ARTH on January 22, 2021.
ȃ On the Move: COVID-19, Migration and Family
Planning in collaboration with Population Council on
April 8, 2021.
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Adolescent Reproductive Sexual Health & Wellbeing
Every third Indian is a young person (10-24 years). This large cohort of young people presents
an unprecedented opportunity to attain accelerated economic development. To leverage the
nation’s demographic dividend, adequate investments in the health needs of young people are
a must. Population Foundation of India works on adolescents and youth across programmes,
by priortising SRH-related information and services for adolescents and youth, through
partnerships with government, CSOs and youth-led organizations.
Legal age for marriage in India is
18 years.
Population
of India
Adolescents
aged 10-19 yrs
20.91 % is
adolescent
aged 10-19 yrs1
253m
22.33 % of
adolescents
is female aged
15-19 yrs1
56.54m
Girls aged
15-19 yrs
19.86% girls
married between
15-19 yrs1
11.23m
$4.60 => $46
Improving the physical, sexual, and mental
health of adolescents aged 10-19 years at the
cost of about $4.60 per person per year could
bring a tenfold economic benefit by averting
more than 12 million adolescent deaths and
preventing more than 30 million unwanted
pregnancies between 2015 to 2030.
A Lancet study points to the fact that investments in the health of
adolescents significantly enhance a nation’s social and economic
status.
26.8% women age
14.42m3 20-24 years married
before age 182
2.44m3
22.2% currently married
women age 15-19 years
have unmet need for family
planning2
1.10m3
10% currently married
women age 15-19 years
use any modern method of
contraception2
4.47m3
7.9% women age 15-19 years
were already mothers or
pregnant2
2.38m3
21.2% of ever-married women
age 15-19 years who have
experienced emotional,
physical, or sexual violence
by any husband/partner in
the past 12 months2
1 Census 2011
2 NFHS-4, 2015-16
3 Estimated through NFHS-4 prevalence rate and
Census 2011 population
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HiWAY
HIGHLIGHTS
This project supported by the Child Investment
Fund Foundation (CIFF) seeks to bring about large
scale change for the situation of adolescents in
India by making a case for accelerated investments
in their health and wellbeing since adolescent
health and well-being is not yet fully a strategic
priority for India. Adolescents face information
barriers and gender stereotypes in making
informed choices related to SRH, education, age of
marriage, choice of partner, mobility, skilling and
employment. Improved programmes and policies
are required to address implementation and
resource bottlenecks at various levels. This project
builds on the understanding that better adolescent
health programming in the country will be critical
to harnessing India’s demographic dividend.
The objective is thus to ensure that adolescent health and
well-being is identified as a clear priority for the country in
its development journey. The project uses three approaches
to achieve its objective of prioritising adolescent health and
well-being:
Building evidence for a compelling narrative focusing
on adolescent development and wellbeing through
research to ascertain social and economic benefits of
public investment on adolescents in India.
Strategic engagement with key stakeholders on
building a consensus on and accelerating investments in
adolescent development and wellbeing.
Media engagement and communication to mobilise
and garner public opinion and support for adolescent
development, through a positive and persuasive media
discourse.
Stakeholder Engagement for Adolescent
Development and Well-being
In November-December 2020, Population Foundation of
India reached high-level stakeholders in various ministries,
such as Ministry of Health, Youth and Sports Affairs and
Skill Development and Entrepreneurship, and development
partners such as UNICEF and World Health Organisation to
understand their current priorities, programmes and plans
for adolescents in India. The need for a proactive, multi-
stakeholder engagement at the highest level to plan,
implement and monitor programmes on adolescents
emerged as key takeways from the meetings and
discussions.
Based on these insights, Population Foundation of India
engaged with NITI Aayog, to co-host a high level, multi-
stakeholder roundtable with various ministries such as
education, skill development and entrepreneurship, women
and child development, health and sports and youth affairs
in March 2021. The engagement with NITI on this project is
on-going.
Population Foundation of India partnered with Institute
for Competitiveness (IFC) in October 2020 to research
and develop a report on the status of adolescents in
India. This study aims to understand current investments,
strategies and programmes in adolescent health, wellbeing
and development across ministries and programmes,
identify gaps, and programmes and recommend measures
for sustainable efforts at the national level to improve and
prioritise issues of adolescents.
20
COMPREHENSIVE SEXUALITY EDUCATION
Another grant from CIFF is enabling Population Foundation of India to implement the project on “Scoping for Expansion of
Comprehensive Sexuality Education (CSE) in India”. The focus of the project is to generate thought leadership at the national
level and in four states to encourage the integration of CSE within existing schemes, programmes and departments and for
increased invesments and programming on CSE.
STRATEGIC ENGAGEMENT IN RAJASTHAN
A grant from CIFF aims to expand the quality of, and access to, adolescent reproductive health services in Rajasthan.
15,700,000
Adolescent Population
RAJASTHAN
23%
Adolescents
53%
Boys
47%
Girls
887
Adolescent Sex Ratio
6.3%
Adolescent girls in Rajasthan
are pregnant or mothers
35.4%
Adolescent girls in Rajasthan
married under age of 18
1 in 5
Adolescent girls (15-19 years) drop out of
school and are forced to get married early,
denying them access to their basic right to
education and health.
21
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HIGHLIGHTS
ACHIEVEMENTS
Expansion of Adolescent Friendly Health Clinics
(AFHCs) across Rajasthan: Population Foundation
of India provides technical support to the Health
Department to advance adolescent health in Rajasthan.
Through sustained strategic engagements, PFI facilitated
the inclusion of Adolescent Friendly Health Clinics (AFHCs)
in the Model CHCs being developed in 200 constituencies
across Rajasthan. Furthermore, we provide technical
support to operationalise the AFHCs.
Inclusion of adolescent health in the agenda of the
Gram Sabha: Strategic dialogues with the Department
of Rural Development and Panchayati Raj has resulted
in adolescent health being added to the agenda of the
Gram Sabha.
Mobilizing youth through Red Ribbon Clubs:
Population Foundation of India, in collaboration with
Rajasthan State AIDS Control Society (RSACS), organized
a series of webinars addressing issues related to youth
SRH. A series of three webinars reached 2,340 students,
217 Red Ribbon coordinators and 146 teachers.
Increased discourse around ARSH by media
engagement: Population Foundation of India continued
its strategic engagement with media houses and their
representatives to advance their understanding on
adolescent health issues. We engaged with local media to
report on adolescent issues by sharing in-depth articles
on the impact of COVID-19 on youth, data analytics and
media exposure visits.
Recognition from the Chief Minister and Health Minister
Shri Ashok Gehlot, Chief Minister of Rajasthan acknowledged
Population Foundation of India’s work on and commitment
to adolescent and youth health in a letter to the organisation.
The Health Minister also committed to prioritize and advance
adolescent health in the state on National Youth Day.
VOICES OF ADOLESCENTS
एच आई वी की जाचँ कराओ, भावी पीढ़ी को
एच आई वी मु�त बनाओ
Get HIV tested, make future generations HIV free
Maya Erwal, Tonk district
मंै िवकास हू,ँ मैं श�ती हँ,ू मैं कुछ भी कर
सकती ह।ूँ
I stand for development, I have power, I can do
anything.
Pooja Jhangid, Tonk district
�व�थ यवु ा, �व�थ �य�क, �व�थ भावी पीिढ़याँ
Healthy youth, healthy adult, healthy future
generations
Vedprakash Bairwa, Karauli district
22
Young people at the Super Sathi Kendra in (Youth Resource Centre) Rajasthan
Feminist Adolescent and Youth
led Action (FAYA)
A grant from CIFF to Population Foundation
of India facilitated the development of a CSE
curriculum in 2019 and its implementation
through the Feminist Adolescent and Youth
led Action (FAYA) programme in Rajasthan.
The curriculum is being transacted with 8,000
adolescents in the age group of 12-19 years in
200 villages across four project districts – Bundi,
Tonk, Karauli and Dungarpur. The project aims to
educate young people on SRH, identity and power
dynamics, gender roles and constructs, healthy
and unhealthy relationships. The curricula provides
correct and comprehensive knowledge, equipping
adolescents with the information and agency to
avail services.
HIGHLIGHTS
Local programme partners came together to
demand a supply of sanitary napkins: The COVID-19
lockdown saw a disruption in the supply of essential
commodities including sanitary pads due to the closure of
schools and anganwadi centers. As a result of sustained
advocacy with the district administration, the Chief
Medical and Health Officer of Bundi issued a letter to
the person in-charge of the District Drug Distribution
Store to regularly supply sanitary pads in the districts.
In Tonk, 5,000 sanitary napkins were distributed at the
village, panchayat, block and district levels to the most
disadvantaged adolescent girls residing in villages.
Establishment of two Super Saathi Kendras (Youth
Resource Centre) in intervention villages: The Super
Saathi Kendra, an initiative which is entirely community-
led, is a centre that serves as a safe space for adolescents
to convene, hold discussions and access a repository of
knowledge products on health and well-being.
Creating an enabling environment: Knowledge and
information were shared with gatekeepers who could
serve as catalysts in building a conducive environment for
CSE and ARSH across all intervention villages.
CSE curriculum-based sessions with adolescents
were conducted across all implementation villages:
Approximately 8,000 adolescents were equipped with
information on reproductive health, gender, menstrual
health and hygiene.
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Case Study
Advocating
for Rights
Healthy menstruation is our
fundamental right
A FAYA youth group meeting in progress
Maintaining good menstrual health and hygiene requires both
the availability of sanitary napkins and effective behaviour
change communication thereby bridging the supply and
demand gap. After the COVID-19 lockdown was announced
in 2020, girls from villages of Tonk and Todaraisingh blocks of
Rajasthan started facing problems in accessing free sanitary
napkins. Girls in these blocks who are participants in the FAYA
project, broke the silence with regards to menstruation and
highlighted their demands through a video clip.
Priya Harijan, an adolescent girl from Lamba village of Tonk
district said, “During our periods, we used to approach our
teachers in schools or Anganwadi workers (before lockdown)
for pads on a regular basis. But now due to lockdown, schools
and Anganwadi centers are closed and we could not get
sanitary napkins when required. My friends and I discussed
the problem and decided to make a video highlighting our
needs.”
Adolescent girls in Lamba raised their voices to demand
sanitary napkin be included in the essential commodity list.
Shiv Shiksha Samiti Ranoli, Population Foundation of India’s
implementation partner, presented the girls’ concerns before
the district administration and advocated for easing the
supply chain of sanitary napkins.
To respond immediately to the problem,
project staff donated a portion of their
salaries and sought support from local
philanthropists to purchase sanitary
napkins for women and girls in need.
In response to the girls’ campaigns, the
district administration made 5,000 sanitary
napkins available for distribution.
24
Educately - Knowledge Hub
Under the FAYA engagement, Population Foundation of India has developed
a teacher training programme – ARSH For You – as a critical component of
its digital and open-access portal on adolescent health and wellbeing called
Educately. ARSH For You aims to equip educators with the knowledge and skills
to address SRH topics in an effective and empathetic manner. The programme
is online, free and self-paced to suit the different needs of educators from
across the country. Currently 2,100 teachers from around India are enrolled in
the course.
Highlights
Development of ARSH for You, an online teacher-training programme
on adolescent health and wellbeing using a rights-based and pleasure
affirming approach. The curriculum has been peer reviewed and translated
into Hindi.
Launch of ARSH for You in English in August 2020 and in Hindi in January
2021.
Partnerships with the Education Department in Bihar for the rollout of
Educately in the state.
ARSH For You programmes will be offered in collaboration with HCL
Foundation on their academic platform.
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Social and
Behaviour Change
Communication
26
Social and Behaviour Change
Communication (SBCC) is used as an
approach across all of Population
Foundation of India’s programmes, in
recognition of the fact that social norms
shape people’s health behaviour and
attitudes. Issues such as SRH, FP,
adolescent health are personal to each
individual, yet governed largely by social
norms. COVID-19 has further underscored
the need to weave SBCC into all our work.
Our SBCC programme uses both online and
offline, high and low technology strategies
to reach out to women, men and young
people to inform and empower them.
CAMPAIGN
Covid Phase I
REACH
55 Million +
VIEWS
Himmat hai toh Jeet hai 2.2 Million + 1.4 Million +
Anthem
Himmat Hai Toh Jeet Hai 4.6 Million + 1.6 Million +
Testimonials
#HimmatHaiTohJeetHai 18 Million +
COVID-19 RESPONSE & CAMPAIGNS
As the lockdown was announced in March 2020,
Population Foundation of India rolled out a campaign
to address issues on COVID-19. The campaign, in
collaboration with Facebook developed a content and
messaging strategy on COVID-19 to collate, authenticate
and produce engaging and informative content in English,
Hindi and eight other regional languages for digital and
social media platforms. These materials were used by
the MyGov India citizen’s engagement platform and state
health departments.
Population Foundation of India conceptualised and
created a short film on female healthcare workers at
the forefront of COVID-19. The video was also published
on Government of India’s MyGov Facebook page and
became one of their top performing posts with over 4.6
million views in 24 hours!
As part of the Stigma and Discrimination Campaign by
the MoHFW, Population Foundation in collaboration
with renowned theatre and film director Feroz Abbas
Khan developed short animation films using an
entertainment-education format. Hasya Kavi Potliwala
is a short animation film featuring a poet who recites a
short kavita (poem) addressing stigma against COVID-19
patients.
The Corona Ki Adalat animation series used the
familiar setting of a courtroom drama to disseminate
important messages, tackle misinformation and
reinforce a sense of solidarity around the fight against
COVID-19. The use of humour to speak about grim issues
at a difficult time, as well as the idea to use popular
courtroom drama were experiments, that were well
received. Both series have been posted on the JIO Cinema
Mobile Platform and have reached an audience of over
250 million.
In September 2020, as the country slowly recovered some
semblance of normalcy after the first COVID-19 wave and
faced an economic downturn, the Population Foundation
launched a campaign titled “Himmat Hai Toh Jeet Hai”
to celebrate himmat (strength) and fortitude. The
anthem highlighted stories of everyday courage and hope
displayed by ordinary people who rose to the occasion.
27
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END VIOLENCE AGAINST CHILDREN
In October 2020, under a grant from The Global Partnership
to End Violence Against Children, Population Foundation
launched a new project on using technology solutions to make
digital spaces safe for children. The objective of this project
is to expand tools and services to prevent the victimization
of children and harmful behavior by offenders and potential
offenders in the digital environment. Population Foundation of
India aims to achieve this objective by modifying the structure
and content of the existing AI-powered chatbot SnehAI. This
project will focus on directly interacting with its intended users
about online children sexual exploitation and abuse (OCSEA).
Over 24 months the project will undertake the following four
key activities:
1. Development of content on online child sexual
exploitation and abuse that will be incorporated into the
SnehAI chatbot
2. On ground promotion of SnehAI chatbot in schools and
communities
3. Campaign on digital safety
4. Development of policy briefs pertaining to adolescents’
digital interaction and safety with a focus on OCSEA
SAFETY
SNEHAI: A DIGITAL COMPANION
SnehAI, Population Foundation of India’s artificial intelligence
(AI) powered chatbot provides a safe, non-judgemental and
trusted space for adolescents to seek out information and
resources on their sexual and reproductive health and rights.
Designed in an adolescent friendly and forward manner, the
chatbot uses rich media such as videos and GIFs to engage
adolescents on key issues. Launched in 2019, the first
iteration of the chatbot used a click-based platform to focus
on family planning and contraceptives. In 2020, Population
Foundation of India, with support from the Bill and Melinda
Gates Foundation, upgraded the chatbot to a Natural
Language Processing platform and expanded its content to
include other taboo topics such as consent, menstruation,
virginity, sexuality, relationships and contraceptives. With
the End Violence project commencing in October 2020, the
chatbot is now being modified to include content, videos,
quizzes and resources on digital safety and online child sexual
exploitation and abuse.
TOTAL CONVERSATIONS
8.67 Million
AVERAGE TIME SPENT
PER SESSION
5 mins
TOTAL USERS
136100+
AVERAGE TIME SPENT
PER USER
6.35 mins
AVERAGE SESSION
PER USER
1.27
AVERAGE MESSAGE
EXCHANGED PER USER
63
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COVID-19
RESPONSE
BIHAR
Population Foundation was nominated to the state COVID-19
vaccine management cell by the State Health Society Bihar
and provide the state government with support on data
analytics and to the District Immunization Officers in planning
the rollout of the COVID-19 vaccination programme, especially
in Darbhanga and Nawada districts.
With support from our field implementation partners, VHSNC
members and youth champions were oriented to lead and
support COVID-19 mitigation efforts at the village level in
eight blocks across Darbhanga and Nawada districts.
They provided support on:
Creating awareness in the community and among
Auxiliary Nurse Midwives (ANM), Accredited Social Health
Activitist (ASHA), and Anganwadi Workers (AWW) on
Covid-19 Appropriate Behaviour
Utilization of VHSNC untied funds for local sanitation
drives, purchase of masks and sanitizers for ASHAs
Support to ASHAs in identifying migrants with travel
history and relaying information with health functionaries
Managing quarantine centres and community kitchens
during the lockdown.
ARC
ARC member organisations conducted a rapid survey on
the availability and accessibility of family planning services
at the field level during COVID-19 across 26 districts in
Bihar in June 2020
A letter was drafted to the Prime Minister to consider
prioritising FP services during COVID-19 in April 2020. This
led to inclusion of FP services within the list of essential
services.
EVIDENCE GENERATION
Population Foundation of India commissioned two studies to
assess the emerging impact of COVID-19 on adolescents in
May 2020. The evidence from these studies, along with similar
studies by QuiltAI and DASRA were disseminated in a national
webinar hosted by Population Foundation and chaired by the
MoHFW in August 2020.
RAJASTHAN
Population Foundation of India conducted a rapid assessment
study in May 2020 to understand the knowledge, attitude and
perceptions of young people (15-24 years) towards COVID-19.
The study examinded how the pandemic had impacted their
lives, health outcomes, needs and priorities.
In Rajasthan, adolescents reported an unmet need for
reproductive health services, sanitary pads and Iron Folic Acid
(IFA) due to the lockdown and the need for mental health care
services. Almost one-third of the adolescents in Rajasthan
who were surveyed reported an increase in workload related
to domestic chores and also an increase in conflict at home.
Interestingly, twice as many female respondents reported an
increase in their caregiving burden.
Social and Behaviour Change
Communication campaigns on COVID-19
Facebook/MyGov
campaign
Hasya Kavi Potliwala
Corona Ki Adalat
Himmat Hai Toh Jeet Hai
These campaigns have been described in previous
sections of the annual report.
30
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COVID-19
RESPONSE
PARTNERSHIPS WITH STATE
GOVERNMENTS AND NGOS
To ensure that materials being developed were widely shared,
Population Foundation of India worked with state governments,
MOHFW and CSOs to share materials in Hindi, English and
regional languages for their use.
Our teams coordinated closely with the Mission Directors,
State Nodal Officers-Community Processes and IEC in 37
States and Union Territories to disseminate our materials
across 150 districts. Population Foundation of India supported
state governments to make modifications to their Programme
Implementation Plans to prioritize resources for COVID-19,
especially for community action.
Population Foundation of India made small grants in Bihar, Uttar
Pradesh, West Bengal, Delhi and Jharkhand to organisations
active in addressing poor and marginalised communities’
immediate needs in the field and quarantine centres during the
COVID-19 crisis.
Convened and coordinated with CSOs, including social marketing
organisations working on FP/SRH to identify a consolidated
approach to ensure that information and services continued to
reach clients.
Population Foundation of India along with its NGO partners
strategically engaged with MOHFW leading to the inclusion of FP
as an essential health service in the Ministry’s guidelines.
In order to ensure an informed discouse on the impact of
COVID-19 and the subsequent response of the public health
system, Population Foundation of India has consistently engaged
with the media through interviews and articles in both digital and
print platforms.
32
ROZGAR DHABA
An information-based solution addressing
the migrant crisis.
With the imposition of the nationwide lockdown in March
2020, a massive reverse migration returning to rural India
occurred. To address this sudden influx of working age
populations without a source of livelihood, Mijwan Welfare
Society, with support from Population Foundation of
India, developed an information based solution for rural
communities called Rozgar Dhaba.
Rozgar Dhaba is a physical village information exchange
centre which provides resources and information on local
jobs, government schemes, health schemes and options for
livelihood. The “dhaba” collects both information from local
employers on job opportunities but also collects information
about job seekers. Further the Rozgar Dhaba provided
support to the community on administrative matters such
as applying for ration and Aadhaar cards and opening bank
accounts. Each centre has computers, printers, wifi and a
facilitator who provided support.
By connecting migrant workers to opportunities within their
localities and communities, the Rozgar Dhaba scheme was
able to encourage individuals to stay in their villages instead of
migrating to large cities.
50
VILLAGES BENEFIT
IN AZAMGARH
40000
PEOPLE REACHED
IN AZAMGARH
251
PEOPLE ABLE TO
FIND JOBS
75
FARMERS AVAIL
GOVT. BENEFITS
1250
PEOPLE ACCESS
GOVT. SCHEMES
AND BENEFITS
What started with one
Rozgar Dhaba in 2020, has
scaled to 12 Rozgar Dhabas
across Uttar Pradesh and
Bihar which caters to over
15000 community members
every day.
33
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Financial /
Operational
Highlights
PARTICULARS
SOURCE OF FUNDS
Corpus Fund
Society Fund
Deferred Grant
Restricted Project Funds
Current Liabilities
Provisions
Total
APPLICATION OF FUNDS
Fixed Assets
Investments
Cash and Bank Balances
Loans and Advances
Total
2020-21
RS.(IN LAKH)
500
6029
48
2680
190
41
9,488
2019-20
RS.(IN LAKH)
500
5743
43
2064
278
33
8,661
119
5470
2820
1079
9,488
122
4700
2963
876
8,661
PARTICULARS
INCOME
Grant income
Donation income
Rental Income
Interest and other income
Total
EXPENDITURE
Population, Health and Family Planning expense
Behaviour Change Communication expense
Community Action for Health expense
Other Project expense
Management & Administrative expense
Total
Excess of Income over Expenditure
2020-21
RS.(IN LAKH)
2180
6
216
456
2,858
2019-20
RS.(IN LAKH)
3456
24
309
504
4,293
1215
639
326
218
174
2,572
286
1331
1641
484
148
101
3,705
588
34
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About Population
Foundation of India
Population Foundation of India is a national NGO,
which promotes and advocates for the effective
formulation and implementation of gender sensitive
population, health and development strategies,
policies and programmes. The organisation was
founded in 1970 by a group of socially committed
industrialists under the leadership of the late JRD Tata
and Dr Bharat Ram.
Mission
PFI will advance people’s reproductive rights within a
human rights and women’s empowerment framework,
by building leadership and public accountability,
influencing social movements, reframing discourse,
and promoting an enabling programme and policy
environment.
Our Donors
Our mission and accomplishments would not
have been possible without generous support and
collaboration with our donors and programme
partners. We are thankful for their continued
partnership and collaboration to advance our shared
mission.
Bill and Melinda Gates Foundation
Children’s Investment Fund Foundation
The David & Lucile Packard Foundation
Ministry of Health and Family Welfare
United Nations Children’s Fund
Facebook India Online Services Pvt Ltd
HCL Foundation
Venus Music Pvt Ltd
International Foundation for Research and
Education
BFP Investment and Financial Consultants Pvt Ltd
Apollo Trading and Finance Pvt Ltd
ActionAid Association
36
PFI’s Anti-Sexual Harassment Policy
At the workplace, Population Foundation of India (PFI)
prohibits discrimination, inappropriate conduct, or
harassment, based on a person’s gender, religion, caste,
ethnicity, sexual orientation, disability, age, colour, national
origin, veteran status, marital status, race, ancestry, linguistic
or any other legally protected characteristic. PFI holds that
all persons have the right to work in an atmosphere free of
discrimination and harassment. PFI recognises that equality
in employment can be seriously impaired when women are
subjected to gender specific violence, like sexual harassment
at the workplace. PFI has thus adopted its Policy Against
Sexual Harassment at the Workplace (referred to as PFI-
PASHW), for the prevention, prohibition and redressal of
sexual harassment in compliance with the mandate of the
Sexual Harassment at Workplace (Prevention, Prohibition and
Redressal) Act 2013 and The Sexual Harassment of Women at
Workplace (Prevention, Prohibition and Redressal) Rules 2013.
Under the policy, the Internal Complaints Committee (ICC)
has been constituted under Rule IV and a detailed grievance
procedure has been laid down in the Human Resource Policy
of the organisation. In the year 2020-2021 , no cases of
sexual harassment were filed in the organisation
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Head office
B-28, Qutab Institutional Area, New Delhi – 110016
T: +91 11 43894 100 | F: +91 11 43894 199
Regional offices
Bihar: 123A, 1st Floor, Patliputra Colony, Patna – 800013
T: +91 612 2270634
Rajasthan: C-9, Shiv Marg, Shyam Nagar, Jaipur – 302019
T: +91 141 4104771
Uttar Pradesh: C-3, Nirala Nagar, Opposite Thandi Park, Lucknow – 226020
T: +91 522 4005091
www.populationfoundation.in
@PopFoundIndia
@PopFoundIndia
@populationfoundationindia